Individual
JOVAN VASILIJA POPOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 JUBILEE DR, PEABODY, MA 01960-4068
(877) 341-9606
Mailing address
31328 LOUISE DR, WARREN, MI 48088-2018
(586) 863-3081
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009563
MI
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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